New Mexico Medicaid Spending
New Mexico's Medicaid program paid $2.19B across 8 providers from 2018–2024. 12 providers in New Mexico are flagged on our risk watchlist. The top procedure code is 99509 (Home visit, assistance w/ ADLs) at $424.6M.
Total Spending
$2.19B
Total Claims
26.3M
Top Providers
8
Beneficiaries
18.8M
Flagged Providers
12
on risk watchlist
Avg Per Provider
$273.8M
across 8 providers
Yearly Spending Trend
Top Providers in New Mexico
Ambercare Home Health Care Corporation
Home Health · Albuquerque
$518.1M
3.9M claims
Unm Hospital
General Acute Care Hospital · Albuquerque
$463.3M
7.0M claims
Presbyterian Healthcare Services
Emergency Medicine · Albuquerque
$345.5M
6.8M claims
Presbyterian Healthcare Services
Surgery · Albuquerque
$240.2M
4.0M claims
DHHS PHS Naihs Shiprock Hospital
General Acute Care Hospital · Shiprock
$190.6M
431K claims
New Mexico Consumer Direct Personal Care LLC
Home Health · Albuquerque
$149.6M
542K claims
San Juan Regional Medical Center, Inc.
Audiologist · Farmington
$141.5M
2.3M claims
Heritage Home Healthcare Services Inc.
Home Health · Albuquerque
$141.2M
1.4M claims
Flagged Providers in New Mexico
Ambercare Home Health Care Corporation
$518.1M
2 flags
Unm Hospital
$463.3M
2 flags
DHHS PHS Naihs Shiprock Hospital
$190.6M
2 flags
Presbyterian Healthcare Services
$345.5M
1 flag
Presbyterian Healthcare Services
$240.2M
1 flag
New Mexico Consumer Direct Personal Care LLC
$127.5M
1 flag
Home Medical Equipment Specialists LLC
$100.0M
1 flag
El Mirador Incorporated
$66.3M
1 flag
Loren Cooke
$57.0M
1 flag
Tricore Inc.
$35.8M
1 flag
Showing 10 of 12 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in New Mexico
| Code | Total Paid |
|---|---|
| 99509 Home visit, assistance w/ ADLs | $424.6M |
| T1019 Personal care services, per 15 min | $304.5M |
| 99285 Emergency dept visit, high/urgent complexity | $92.1M |
| G0463 Hospital outpatient clinic visit | $85.1M |
| 99284 Emergency dept visit, high complexity | $80.7M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $74.1M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $73.8M |
| 99211 Office/outpatient visit, minimal complexity | $72.0M |
| 99212 Office/outpatient visit, low complexity | $51.7M |
| 99283 Emergency dept visit, moderate complexity | $50.4M |
| G9006 Coordination of long-term care services, per hour | $50.4M |
| G9001 | $31.6M |
| S5125 Attendant care services, per 15 min | $21.7M |
| 74177 CT abdomen and pelvis with contrast | $19.9M |
| G0378 Hospital observation service, per hour | $17.6M |